Part 22, Environmental Diseases

Notice

The information contained on this website is not the official version of the Compilation of the Rules and Regulations of the State of New York (NYCRR). No representation is made as to its accuracy. To ensure accuracy and for evidentiary purposes, reference should be made to the Official Compilation of the Rules and Regulations of the State of New York, available from West Publishing at 1-800-344-5009.

Section

Section 22.1. Supplementary reports of spontaneous abortions and fetal deaths for epidemiological surveillance; filing

Every physician and hospital shall file a supplementary report with the State Commissioner of Health of each spontaneous abortion or other fetal death occurring naturally. Such report shall be filed within 10 days of the occurrence of such event on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.

Section 22.2. Supplementary reports of low birth weights for epidemiological surveillance; filing

Every physician, hospital and person in attendance at live births shall file a supplementary report with the State Commissioner of Health of each live birth for which the birth weight is 2,500 grams (5.2 pounds) less. Such report shall be filed within 10 days of the birth and shall be on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.

Section 22.3. Supplementary reports of certain congenital anomalies for epidemiological surveillance; filing

Every physician and hospital in attendance on an individual diagnosed within two years of birth as having one or more of the congenital anomalies listed in this section shall file a supplementary report with the State Commissioner of Health within 10 days of diagnosis thereof. Such report shall be on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.

  • Anencephalus and similar anomalies
  • Spina bifida
  • Congenital anomalies of the nervous system
  • Congenital anomalies of the eye
  • Congenital anomalies of ear, face, neck
  • Congenital anomalies of heart
  • Congenital anomalies of circulatory system
  • Congenital anomalies of respiratory system
  • Cleft palate and cleft lip
  • Congenital anomalies of upper alimentary tract
  • Congenital anomalies of digestive system
  • Congenital anomalies of urinary system
  • Congenital anomalies of genital organs
  • Congenital anomalies of limbs
  • Congenital musculoskeletal deformities
  • Other congenital musculoskeletal anomalies
  • Congenital anomalies of the integument
  • Congenital anomalies of the spleen
  • Congenital anomalies of the adrenal gland
  • Congenital anomalies of other endocrine glands
  • Multiple congenital anomalies
  • Anomaly, multiple NOS
  • Deformity, multiple NOS

Section 22.4. Reporting of occupational lung disease

Every physician, health facility and clinical laboratory in attendance on a person with clinical evidence of occupational lung disease, as categorized in section 22.5 of this Part, shall report such occurrence to the State Commissioner of Health within 10 days. Such report shall be on such forms as prescribed by the State Commissioner of Health.

Section 22.5. Classification of occupational lung disease

For purposes of reporting occupational lung disease as required by section 22.4 of this Part, occupational lung disease shall be categorized according to the following probable causative agents or nomenclature as applicable.

  • Coal workers lung disease
  • Silicosis
  • Absestosis/Asbestos-related lung disease
  • Berylliosis
  • Talcosis
  • Hardmetal diseases (Titanium, Cobalt)
  • Byssinosis
  • Bronchitis due to occupational exposure
  • Hypersensitivity Pneumonitis (occupational)
  • Occupational asthma
  • Other occupational lung disease

Section 22.6. Reporting heavy metal levels in blood and urine

Every physician, clinical laboratory and health facility in attendance of a person with a blood or urine test resulting in a value at or above those listed in section 22.7 of this Part, shall report such occurrence to the State Commissioner of Health within 10 days of the receipt of the results of such test. The report shall be on such forms as prescribed by the State Commissioner of Health.

Section 22.7. Reportable levels of heavy metals in blood and urine

For purposes of section 22.6 of this Part, the following levels of heavy metals in blood and urine samples are reportable to the State Commissioner of Health:

Metal Sample Reportable at or above
Lead Blood 25 ug/dl*
Cadmium Blood 10 ng/ml
  Urine 5 ug/l
Mercury Blood 5 ng/ml
  Urine 20 ng/ml
Arsenic Urine 50 ug/l

Section 22.8. Reporting of certain occupational exposures

Every employer who employs 100 or more persons shall file annually with the State Commissioner of Health a listing of those employees who, in the course of their employment, used, made, or were otherwise exposed to the chemicals and compounds listed in subdivision (a) of this section during the previous year. The listing of employees shall be on such forms as may be prescribed by the State Commissioner of Health.
  • (a) None.

Section 22.9. Reports; place of filing

All reports required by this Part shall be filed with the Director of the Bureau of Environmental Epidemiology and Occupational Health, Division of Epidemiology, New York State Department of Health, Empire State Plaza, Tower Building, Albany, NY 12237.

Section 22.10. Effective dates

The provisions of sections 22.6 and 22.7 of this Part shall be effective on December 1, 1981; the provisions of sections 22.4 and 22.5 of this Part shall be effective on April 1, 1982; and the provisions of sections 22.1, 22.2 and 22.3 of this Part shall be effective on October 1, 1982.

Section 22.11. Reporting of pesticide poisoning

Every physician, health facility, and clinical laboratory in attendance on a person with confirmed or suspected pesticide poisoning or with any of the clinical laboratory results as described in section 22.12 of this Part, shall report such occurrence to the State Commissioner of Health within 48 hours. This report shall be on such forms or in such manner as prescribed by the State Commissioner of Health.

Section 22.12. Reportable laboratory tests for pesticide poisoning

For purposes of section 22.11 of this Part the following laboratory tests are reportable to the State Commissioner of Health:

  • (a) Blood cholinesterase levels which are below the normal range established by the clinical laboratory performing the test in accordance with quality assurance requirements established by the permit-issuing agency.
  • (b) Levels of pesticides in human tissue samples which exceed the normal range established by the clinical laboratory performing the test in accordance with quality assurance requirements established by the permit-issuing agency.